| Elaine T Shim DDS PC | |
|
26741 Portola Pkwy Ste 1d Foothill Ranch CA 92610-1762 | |
| (949) 581-4908 | |
| Not Available |
| Full Name | Elaine T Shim DDS PC |
|---|---|
| Speciality | Clinic/center |
| Location | 26741 Portola Pkwy Ste 1d, Foothill Ranch, California |
| Authorized Official Name and Position | Elaine Shim (OWNER) |
| Authorized Official Contact | 7023730221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine T Shim DDS PC 19011 Antioch Dr Irvine CA 92603-3306 | Elaine T Shim DDS PC 26741 Portola Pkwy Ste 1d Foothill Ranch CA 92610-1762 Ph: (949) 581-4908 |
| NPI Number | 1548728181 |
|---|---|
| Provider Enumeration Date | 03/02/2019 |
| Last Update Date | 03/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548728181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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